Volunteer Application Form

Personal Details

Name: *

First name

Last name

Postal Address: *

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Daytime Contact Number: *

Email address: *

Volunteering

What makes you want to volunteer with us? *

What skills and experience do you feel you offer? *

What skills and/or experience would you like to gain through volunteering at the Anglican Centre? *

What's your preferred area of work:

What's your preferred day of the week and time for volunteer work:

Health conditions

This health information will assist us to meet our obligations to provide a safe and hospitable place for all people in our workplaces, and to ensure appropriate support is available where needed.

Do you have any medical, physical or psychological conditions, which may affect your ability to attend work or properly and safely carry out the tasks and responsibilities of the job you are applying for?

Are you taking any medication which may affect your ability to attend work or properly and safely carry out the tasks and responsibilities of the job you are applying for?

Have you had an injury, disability or illness that could be further aggravated by any tasks you may be required to perform?

Are there any job-related tasks which you are not able to perform due to a medical/physical or psychological condition, medication, an injury, disability or illness?

If you answered Yes to any of the above questions, please give details:

Criminal Convictions

Have you been convicted of any offence against the law within the last seven years or do you have any criminal charges pending (apart from minor speeding or parking offences)?

If Yes, please give details:

Do you have a current full New Zealand driver’s license?

Next of Kin Emergency Details:

Please give name and contact number for emergency contact: *

If I am accepted to volunteer, I agree to abide by all organisational policies and attend volunteer training as required. *

I have truthfully completed all sections of this application and have provided information that is accurate and complete to the best of my knowledge. No relevant information has been omitted. *

I understand that I will be engaged as a volunteer, not an employee. I also understand that being a volunteer does not give any promise or reasonable expectation of remuneration reward or paid employment. *